Octavia Deshaun Richardson in Cleveland - Physical Therapy Assistant

Octavia Deshaun Richardson - NPI 1093831729

Octavia Deshaun Richardson is a Physical Therapy Assistant in Cleveland, Ohio. Octavia Deshaun Richardson practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Octavia Deshaun Richardson is 1093831729. The last update date is 2007-07-08.

Octavia Deshaun Richardson's current location address is 13204 Griffing Ave Apt 7, Cleveland, Ohio. You can contact this provider via phone number 2169210981. The mailing address for Octavia Deshaun Richardson is 13204 Griffing Ave Apt 7, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Octavia Deshaun Richardson
Address 13204 Griffing Ave Apt 7, Cleveland, Ohio
Phone Number 2169210981
Fax Number
Sole Proprietor Y
Credentials LPTA

NPI Number Detail

NPI Number 1093831729
Provider Enumeration Date 2007-03-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 13204 Griffing Ave Apt 7
City Cleveland
State Ohio (OH)
Post Code 441203080
Phone Number 2169210981
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No 6426
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Octavia Deshaun Richardson

What is the unique identifier code issued to Octavia Deshaun Richardson by the Centers for Medicare & Medicaid Services (CMS)?

The Octavia Deshaun Richardson has been assigned the NPI (National Provider Identifier) 1093831729. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Octavia Deshaun Richardson's physical address?

The Octavia Deshaun Richardson is physically located at 13204 Griffing Ave Apt 7, in the city of Cleveland, OH, with the postal code 441203080.

What is Octavia Deshaun Richardson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Octavia Deshaun Richardson's area of specialization is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this field of practice is 225200000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1093831729 to Octavia Deshaun Richardson?

The Centers for Medicare & Medicaid Services originally issued the 1093831729 to Octavia Deshaun Richardson on 2007-03-22.

When was the information regarding Octavia Deshaun Richardson most recently updated?

The details pertaining to the Octavia Deshaun Richardson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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